视物模糊伴低热、胸痛和口角歪斜：1例神经免疫性疾病患者的中西医结合诊治讨论

Blurred vision with low fever, chest pain and deflection of angle of mouth: a case of neuroimmune disease treated with integrative medicine

报道1例以视物模糊伴低热、胸痛和口角歪斜为主要表现的结节病患者的中西医结合诊治经验。通过病例讨论,明确中医文献中未见记载的一部分全身性或系统性疾病的发病可能与神经免疫异常有关;在中医治则方面,大多从肝、脾和肾论治,且辨证大多为脾肾阳虚。在治疗此类患者时,应以症状为中心,不仅基于中医辨证论治治则改善患者症状,还以症状为中心明显减轻激素冲击治疗引起的不良反应,充分体现辨病与辨证相结合的中西医结合治疗神经科疾病的优势。

The experience in diagnosis and treatment of a case of sarcoidosis with blurred vision,low fever,chest pain and deflection of angle of mouth as the main manifestations was reported.Through case discussion,it is clear that some systemic diseases which have not been documented in the literature of traditional Chinese medicine may be related to neuroimmune diseases.Based on the treatment principle of traditional Chinese medicine,most of the neuroimmune diseases are treated from liver,spleen and kidney,and the syndrome differentiation of these diseases is mostly deficiency of spleen and kidney yang.In addition,symptom-centered therapy should be emphasized,not only to improve the symptoms of patients based on syndrome differentiation and treatment principles,but also to relieve the adverse reactions of hormone shock therapy,which fully embodies the advantages of the combination of disease differentiation and syndrome differentiation in treatment of neurological diseases with integrative medicine.